Exceed Form.pdf

PDF 542 KB Posted

Attached to
Detroit Supply Schedule #11 Single Family Home Repairs
Solicitation number
300000130037297
Issued by
Michigan

About this file

This is an Exceed Form from the City of Detroit, Michigan Department of Housing and Neighborhoods, specifically the Housing Inspections division located at the Coleman A. Young Municipal Center. The form serves as an authorization and justification document for exceeding established program caps on residential repair projects. The document outlines four primary program categories with associated maximum funding caps: Healthy Homes ($5,000), Lead Hazard Reduction ($19,999), Emergency Repair Roof ($15,000), and Emergency Repair Other ($8,500). The form requires project case numbers, property owner information, property addresses, and detailed documentation or justification for any requested overages above these established caps.

The authorization process requires multiple levels of approval and verification before any work exceeding the program caps may proceed. Specifically, the Chief of Housing Inspections must review and approve the case, while the Program Manager/Supervisor must verify available program funds. The form includes signature lines for the Single Family Director, Housing Compliance Inspector, Chief of Housing Inspections, and Program Manager/Supervisor, along with fields for phone numbers and dates. Contact information for the department is provided as 313.224.6380 (phone) and 313.224.1629 (fax), with the program website listed as www.detroitmi.gov. The form emphasizes that no additional work may commence on projects with costs exceeding program caps without documented approval and fund verification.

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Text version

DATE:

Case No:

Property Owner:

Property Address:

City, State, Zip: Detroit, MI

Fax No.

-$ Emergency: -$ HH Cap: (5,000.00)$ Roof Cap: (15,000.00)$ Exceed: Exceed:

-$ Emergency -$ LHR Cap: (19,999.00)$ Other Cap: (8,500.00)$ Exceed: Exceed:

Documentation/Reason to Exceed Cap:

(Please attach any additional pages of support documentation and justification to exceed cap)

1)

2)

OVERAGE DETAIL

LHR:

Auto-Generated Manually Generated Healthy Homes:

Coleman A. Young Municipal Center Phone: 313.224.6380

2 Woodward Avenue. Suite 908 Fax: 313.224.1629 Detroit, Michigan 48226 www.detroitmi.gov

Email-Alternate Phone #:

Program Name:

Caution: Please note the following conditions to exceed program cap:

No additional work is to proceed, where costs exceed program caps, without the case review and approval of the Chief of Housing Inspections.

No additional work is to proceed, where costs exceed program caps, without the review and verification of program funds, by the Program Manager/Supervisor.

Program Cap

Healthy Homes - $5,000 / Lead Hazard Reduction - $19,999 / Emergency Repair Roof - $15,000 / Emergency Repair Other - $8,500

Authorization and Justification to Exceed Program Cap

Single Family Director:

Signature Date

Phone #:

Signature Date

Housing Compliance Inspector:

Signature Date

Approved by Chief of Housing Inspections:

Reviewed by Program Manager/Supervisor: Verification of Funds

Signature Date

Historic Designation Compliance Insp.: Phone No.

File details come from the government source that posted it. Updated .